Provider Demographics
NPI:1861714883
Name:PIACQUADIO, PIETRO (RPH)
Entity type:Individual
Prefix:MR
First Name:PIETRO
Middle Name:
Last Name:PIACQUADIO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 NASSAU TERMINAL RD
Mailing Address - Street 2:C/O AVANTI HEALTH CARE SERVICES
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4927
Mailing Address - Country:US
Mailing Address - Phone:516-280-1000
Mailing Address - Fax:516-280-1075
Practice Address - Street 1:1045 TASKER LN
Practice Address - Street 2:
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-1945
Practice Address - Country:US
Practice Address - Phone:917-217-4542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist